HomeMy WebLinkAboutXR2022-1991 - Permits¢'� Wpc""
City of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport
Beach, CA 92660 -
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
II III I I I II I II I III II I I II I II COMB Permit : XR2022-1991
Plan Check No : 2940-2021
p� Issued Date :
Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURD'W OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 1111 CLIFF DR
Description: SFR DELTA 2 ADDL SCOPE ADD ONE BATHROOM':(62 SF) REMODEL TO SCOPE (CHANGE OF CONTRACTOR)
Owner: GARY CONWELL
Contractor:
ZALARHOMES.
Architect
Address : 2273 COLUMBIA DR COSTA MESA, CA 92626
Address:
8146 PAWTUCKET DR HUNTINGTON '.:..
Address
'
BEACH, CA92646
Phone :
Phone :
(714) 853-9696
Phone:
Con State Lic
: 1071867'-
State Lic
Applicant: CRAIG WOOLBERT
Lic Expire :
12/31/2022 >.
Address : 5622 LITTLER DR HUNTINGTON BEACH, CA
Bus Lic:
BT30074051
Engineer:
IBRAHIM MARK K
92649
Phone: (714) 856-2605
Bus Lic Expire : 01/31/2023
Address :
3436 E LONGRIDGE ORANGE, CA
92867
'
Workers' Compensation Insurance
Phone:
(714) 283-2551
Carrier:':
Policy No:
- EXEMPT
Designer:
CRAIG WOOLBERT
W. C. Expire:
Address:
5622 LITTLER DR HUNTINGTON
BEACH,
--
CA 92649
Phone:
(714) 856-2605
Code Edition : 2019
Fire Sprinklers : - NO
Construction Valuation : $0.00
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Type of Construction : V-B
Fire Hazard Zone ::, Y
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Occupancy Groups : U,R-3
No of Units :
` 1
Added/New/Ti sq. ft. Bldg : 0
Bldg Height :
No of Stories:
1
Added/New sq. ft. Garage: 0
°
. • °
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10
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Flood Zone: X
Use Zone: R-1-Single-Unit Residential
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PROCESSED BY:
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SPECIAL CONDITIONS: CHANGE OF CONTRACTOR (X2022-0457)
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OWNER43UILDER DECLARATION,,
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable. item(s)
Section 7031.6, Business and Professions Code: Any City or county that tequilas a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
1e permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
rofessions Code) or that be or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of morn than five hundred dollars ($500).
11, as owner of the property, or my employees with wages as their sole Compensation, will do U all of or (_) portions oftlte work, and the structure is not intended or offered for sale (Section 7044,
usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the property, provided that the
nprovelnents are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
nproved for the purpose or sale),
11, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044,IBusmass and Professions Code: The Contractors' State License Law does not
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a. licensed Contracto€i pursuant to the Contractors' State License Law).
I I am exemptfrom licensure under the Conlractors' State License Law for the following reason:
y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legall,
oil a structure that I haws built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I urfderstand that a copy of the applicable law, Section 7044 of the Business and
rofessions Code, is available upon request when this application is submitted or at the following Web site:hhp:1Avww.legin/o.ca.gov/calaw.hm-l.
,ignalure of Property Owner or Authorized Agent Date
,ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o2ivisior. 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
PORKERS' COMPENSATION, DECLARATION
ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRNINAL PEN
oar OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3796 DP THE LABOR CODE, INTEREST, AND ATTORNEYS FEES,
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director
erformance of the work for which this permit is issued. Policy No.
]I have and will maintain workers compensation insurance, as required by Section 3700 of the Labor Code, for the
Isurance, earier and policy number are:
:arrier Policy Number
asofA gent
certify that, in the performance of the work for which this permit is issued, I. shall not employ any person in any
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
lature of AlaRlioant X
CIVIL. FINES UP TO ONE HUNDRED THOUSAND DOLLARS f$I UQ,USeI, IN ADDITION TO THE
Industrial Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
a as to become subject to the workers' compensation laws of California, and agre
comply with those provisions,
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code)
eIT llama• Lender's Address
By yny signaRtfe below, I certify to each of the following:
�I „Pam the prd¢erty owner or authorized to acton the property owner's behalf.
IIIr .I have reset tq3ipplicarron and the information I have provided is correct,
Negme to comply with all applicable City and County ordinances and state laws relating to building construction.
�I authoriza,representatives of this city or county to enter the above -Identified properly for inspection purposes. _
CERTIFICATE OF
OCCUPANCY ISSUED
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
❑�rEPA - - All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
` 'iv�C-FAQMD be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the
ASBESTOS NOTIFICATION. IS NOT APPLICABLE TO life of the pant.
PROPOSED DEMOLITION